Prior Auth Required

81163 - Genetic Testing BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair

This procedure appears on the selected insurer prior authorization source.

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Prior authorizationPrior Auth Required
Procedure / ServiceGenetic Testing BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair
Procedure / Service Description

Mountain Health Co-Op, Services Requiring Prior Authorization 68 - duplication/deletion analysis) Genetic Testing 81163 BRCA1 (BRCA1, DNA repair associated), BRCA2 (BRCA2, DNA repair associated) (eg, hereditary breast and ovarian cancer) gene

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.